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New insight into paracellular environmental changes under severe insults and their application to critically ill patients

Research Project

Project/Area Number 20592127
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionKeio University

Principal Investigator

FUJISHIM Seitaro  Keio University, 医学部, 准教授 (00173419)

Co-Investigator(Kenkyū-buntansha) MIYAKI Masaru  慶應義塾大学, 医学部, 助教 (60365400)
SEKINE Kazuhiko  慶應義塾大学, 医学部, 共同研究員 (90296715)
Co-Investigator(Renkei-kenkyūsha) NAKANO Yasushi  慶應義塾大学, 医学部, 助教 (90528225)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2010: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2009: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2008: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsCCR4 / interleukin-18 / SIRS / interleukin-17 / Interleukin-18 / 急性肺損傷 / Interleukin-17 / ARDS / IL-18 / ALI
Research Abstract

We hypothesized that abnormal paracellular environmental changes under severe insults induce overwhelming inflammation, hypersensitivity to infection, and imnuno-suppression, and used mice models of systemic inflammatory response syndrome and acute lung injury (ALI), as well as in vitro cell culture systems. We found that decrease in IL-18 levels induced changes in numerous genes in vitro, and in vivo supplementation of IL-18 resulted in anti-inflammatory effects in animal models. Furthermore, using a mouse model of ALI, we found that lack of IL-17 aggravated inflammation, suggesting new roles of IL-17.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (23 results)

All 2010 2009 2008 Other

All Journal Article (15 results) (of which Peer Reviewed: 13 results) Presentation (5 results) Book (2 results) Remarks (1 results)

  • [Journal Article] 急性肺損傷(ALI)、急性呼吸促迫症候群(ARDS)の病態と診療2010

    • Author(s)
      藤島清太郎
    • Journal Title

      日救急医会誌 Vol 21、No 10

      Pages: 819-827

    • NAID

      10030254810

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Production and activation of matrix metalloproteinase-7 in idiopathic pulmonary fibrosis2010

    • Author(s)
      Fujishima S, Shiomi T, et al
    • Journal Title

      Arch Pathol Lab Med Vol 134, No 8

      Pages: 1136-11452

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Production and activation of matrix metalloproteinase-7 in idiopathic pulmonary fibrosis.2010

    • Author(s)
      Fujishima S, Shiomi T, et al
    • Journal Title

      Arch Pathol Lab Med

      Volume: 134(8) Pages: 1136-42

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 急性肺損傷(ALI)、急性呼吸促迫症候群(ARDS)の病態と診療2010

    • Author(s)
      藤島清太郎
    • Journal Title

      日救急医会誌

      Volume: 21 Pages: 819-27

    • NAID

      10030254810

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vivo IL-18 supplementation ameliorates lethal acute lung injury in burn-primed endotoxemic mice : a novel anti-inflammatory role of IL-182009

    • Author(s)
      関根和彦, 藤島清太郎, et al.
    • Journal Title

      Shock Vol 32, No5

      Pages: 554-562

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 遅発性肺損傷を呈した塩素ガス吸入2症例の検討2009

    • Author(s)
      山元良、藤島清太郎、他
    • Journal Title

      日救急医誌 Vol 20、No 7

      Pages: 390-396

    • NAID

      10020356836

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Macrophage derived chemokine(CCL22), thymus and activation-regulated chemokine(CCL17), and CCR4 in idiopathic pulmonary fibrosis2009

    • Author(s)
      Yogo Y, Fujishima S, et al.
    • Journal Title

      Respir Res 10

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vivo IL-18 supplementation ameliorates lethal acute lung injury in burn-primed endotoxemic mice : a novel anti-inflammatory role of IL-182009

    • Author(s)
      Sekine K, Fujishima S, et al.
    • Journal Title

      Shock 32(5)

      Pages: 554-562

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Macrophage derived chemokine (CCL22), thymus and activation-regulated chemokine (CCL17), and CCR4 in idiopathic pulmonary fibrosis2008

    • Author(s)
      Yogo Y, Fujishima S, et al.
    • Journal Title

      Respir Res Vol 10

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Neutrophil elastase and systemic inflammatory response syndrome in the initiation and development of acute lung injury among critically ill patients2008

    • Author(s)
      Fujishima S, Morisaki H, et al.
    • Journal Title

      Biomed Pharmacother Vol 62

      Pages: 333-338

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 【救急・集中治療領域の感染管理】救急患者における人工呼吸器関連肺炎の臨床的検討2008

    • Author(s)
      宮木大,藤島清太郎、相川直樹
    • Journal Title

      日本外科感染症学会雑誌 Vol 5

      Pages: 49-54

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Sepsisに対する新規治療戦略:一次侵襲後の免疫・栄養学的予防療法2008

    • Author(s)
      藤島清太郎,関根和彦,宮木大,他
    • Journal Title

      Shock Vol 23

      Pages: 53-58

    • NAID

      10024300614

    • Related Report
      2010 Final Research Report
  • [Journal Article] Neutrophil elastase and systemic inflammatory response syndrome in the initiation and development of acute lung injury among critically ill patients2008

    • Author(s)
      Fujishima S, Morisaki H, et al.
    • Journal Title

      Biomed Pharmacother 62

      Pages: 333-338

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 【救急・集中治療領域の感染管理】救急患者における人工呼吸器関連肺炎の臨床的検討2008

    • Author(s)
      宮木大, 藤島清太郎, 相川直樹
    • Journal Title

      日本外科感染症学会雑誌 5

      Pages: 49-54

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Sepsisに対する新規治療戦略 : 一次侵襲後の免疫・栄養学的予防療法2008

    • Author(s)
      藤島清太郎, 関根和彦, 宮木大, 他
    • Journal Title

      Shock 23

      Pages: 53-58

    • NAID

      10024300614

    • Related Report
      2008 Annual Research Report
  • [Presentation] 急性肺損傷:病態の多様性と治療のストラテジー2010

    • Author(s)
      藤島清太郎
    • Organizer
      第25回日本Shock学会総会
    • Place of Presentation
      東京
    • Year and Date
      2010-05-28
    • Related Report
      2010 Annual Research Report 2010 Final Research Report
  • [Presentation] 重症患者lipopolysaccharide (LPS)高感受性機序の解明:IL-18の免疫修飾作用2009

    • Author(s)
      藤島清太郎、関根和彦, ら
    • Organizer
      第15回日本エンドトキシン研究会
    • Place of Presentation
      東京
    • Year and Date
      2009-11-14
    • Related Report
      2010 Final Research Report
  • [Presentation] 重症患者 lipopolysaccharide(LPS)高感受性機序の解明 : IL-18の免疫修飾作用2009

    • Author(s)
      藤島清太郎, 関根和彦, ら
    • Organizer
      第15回日本エンドトキシン研究会
    • Place of Presentation
      東京
    • Year and Date
      2009-11-14
    • Related Report
      2009 Annual Research Report
  • [Presentation] Expression of Musashi-1 in bronchiolar and alveolar epithelium in normal and injured mouse lungs2008

    • Author(s)
      Fujishima S, Okano H, et al.
    • Organizer
      American Thoracic Society The 104th Internatio-nal Conferecnce
    • Place of Presentation
      Toronto, Canada
    • Year and Date
      2008-05-28
    • Related Report
      2010 Final Research Report
  • [Presentation] Expression of Musashi-1 in bronchiolar and alveolar epithelium in normal and injured mouse lungs2008

    • Author(s)
      Fujishima S, Okano H, et al.
    • Organizer
      American Thoracic Society The 104th Intematio-nal Conferecnce
    • Place of Presentation
      Toronto, Canada
    • Year and Date
      2008-05-28
    • Related Report
      2008 Annual Research Report
  • [Book] IL-18の免疫修飾作用(エンドトキシン研究:重症患者lipopolysaccharide (LPS)高感受性機序の解明)2010

    • Author(s)
      藤島清太郎、関根和彦, ら
    • Publisher
      医学図書出版
    • Related Report
      2010 Final Research Report
  • [Book] 重症患者lipopolysaccharide(LPS)高感受性機序の解明:IL-18の免疫修飾作用2010

    • Author(s)
      藤島清太郎、関根和彦, ら
    • Total Pages
      5
    • Publisher
      医学図書出版
    • Related Report
      2010 Annual Research Report
  • [Remarks] ホームページ等

    • Related Report
      2010 Final Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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